11 results
Signs of Graves disease: 
• Goiter 
• Periorbital edema 
• Non-pitting edema causing hyperpigmented plaques 
•
Signs of Graves ... hyperpigmented plaques • Clubbing ... Graves #disease #Signs ... #Clinical #Photo ... #Diagnosis
Holster Sign in Dermatomyositis

Interestingly, poikiloderma and violaceous erythema can occur in sun protected areas as well
Holster Sign in ... sign Dr. ... #Sign #Thighs # ... SkinRash #Dermatomyositis ... #Photo
Psoriasiform Scalp Findings in Dermatomyositis

Scalp: DM patients can present with a psoriasiform scalp eruption characterized redness,
the presenting sign ... Psoriasiform #Scalp #sign ... #SkinRash #Dermatomyositis ... #Dermatology #Clinical ... #Photo
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... cardiology #McConnells #sign
Dermatomyositis with heliotrope rash, shawl sign, and Gottron's papules

A middle-aged man describes progressive difficulty combing his
heliotrope rash, shawl sign ... rash, 2) shawl sign ... #heliotrope #skinrash ... #shawl #sign #GottronsPapules ... #photo
Problem Representation - Approach to the Infectious Disease Patient

Who: Patient age and host/risk factors (such as
, splenectomy, etc ... illness What: Key signs ... that define the clinical ... illness script (e.g ... #History #HPI #Diagnosis
Hutchinson's Sign is zoster of the lateral side of the nose OR tip of the nose.
Branches
Hutchinson's Sign ... is zoster of the ... #Hutchinsons #Sign ... #Ophthalmicus #diagnosis ... #clinical #photo
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Cardiac, pulmonary etc ... Lack of UMN/LMN signs ... Muscle Biopsy: Dermatomyositis ... #Differential #Diagnosis
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Intubation only if clinically ... Pyridostigmine - New diagnosis ... monitoring (vital signs ... , clinical appearance ... subjective dyspnea, etc
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... not be subtle e.g ... vision changes, etc ... GCA #Temporal #Signs